Blank credit application forms are forms that your company can use to vet other companies that are interested in getting credit from your company. It makes it possible for you to gather information from your potential creditors. Again, it makes it possible for the creditor to custom make the agreement section to meet with their credit preferences.

CONTACT INFORMATION

Your name: ______________________________________________________________

Surname                      Middle name                    First Name

Telephone: ______________________________________________________________

Home                         Office                     Mobile

E-mail: __________________________________ Fax: ___________________________

BUSINESS INFORMATION

Name of company as registered: _____________________________________________

Address: ________________________________________________________________

City: ____________________________________ Telephone: _____________________

How long have you stayed at your current address: ______________________________

Type of business: _________________________________________________________

Date when business was started: _____________________________________________

Principal owners of the company and decision makers: __________________________

_______________________________________________________________________

_______________________________________________________________________

REFERENCES

Business references: ______________________________________________________

_______________________________________________________________________

_______________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Bank information: _______________________________________________________

______________________________________________________________________

Credit information: ________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Credit agreement: _________________________________________________________

________________________________________________________________________

________________________________________________________________________

Company representatives: __________________________________________________

________________________________________________________________________

Notes and comments: ______________________________________________________

________________________________________________________________________

________________________________________________________________________
_________________________  ___________________________

Authorized signature                    Title

________________________  ___________________________

Name                                           Date

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